Get Form Approval Omb 0910 0502

Filling out the Form Approval OMB 0910 0502 is an essential step for individuals or organizations looking to cancel food facility registrations. This guide provides a clear, step-by-step approach to completing the form online effectively.

Follow the steps to accurately fill out the form.

1. Click ‘Get Form’ button to access the form and open it in your browser.
2. Begin filling in the 'Facility registration number' field at the top of the form. This is crucial for identifying the specific facility.
3. Choose between 'Domestic registration' or 'Foreign registration' by marking the appropriate selection.
4. In the 'Facility name/address information' section, provide the full name of the facility. Fill in the 'Facility street address' fields, including both lines if necessary. Include the city, state, ZIP code, province/territory, and country.
5. Review the 'Certification statement' carefully. Ensure that the person submitting is the owner, operator, or authorized agent. The statement affirms that the information provided is true and correct.
6. In the 'Signature of submitter' section, the person completing the form must sign and print their name.
7. Check the appropriate box to indicate if you are the owner, operator, or agent in charge. If authorized by someone else, fill in the name of the individual who authorized the cancellation.
8. Complete the address information for the authorizing individual, if applicable, including their phone number.
9. Once all sections are filled, save the changes, download the completed form, and choose to either print or share as needed.

Complete the Form Approval OMB 0910 0502 online today and ensure your submission is accurate.